Hillside Medical Office Llc

LBN: Hillside Medical Office Llc
Hillside Medical Office Llc is an health care organization with primary practice located at 855 N Hillside St , Wichita KS 67214-4913. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Hillside Medical Office Llc can be contacted via phone (316) 685-1381, or through Gordon, David A via phone (316) 685-1381.

Contact Information

Primary practice address
855 N Hillside St Wichita KS 67214-4913
Phone: (316) 685-1381
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gordon, David A CPA
Phone: (316) 685-1381

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Kansas

Profile Details

NPI number 1912969486
LBN Legal business name Hillside Medical Office Llc
DBA Doing business as
Authorized official Gordon, David A CPA
Entity Organization
Organization subpart 1 No
Enumeration date Apr 3rd, 2006
Last updated Jun 18th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912969486 NPPES
Kansas Other 16399 BC/BS GROUP NUMBER
Kansas MEDICAID 100087950A BC/BS GROUP NUMBER

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